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17 Cards in this Set

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What is the essential distinguishing feature of pediatric PT?
The child is continually growing and developing
What ages does pediatric Pt encompass?
birth to 21 years
Peds exam is based on..(4)
1. developmental and behavioral milestones
2. roles of child
3. re-evals for growing child
4. Custom, culture, family dynamics and environment
Parent and Child interview should focus on...
1. Major concerns of child and family
2. Best skill of child
3. Goals
4. Most important people in child's life
5. what does family like to do?
History of the child should include:
Medical diagnosis
Prenatal/perinatal hx
Developmental hx
Review of systems including vision, hearing, nutrition, respiratory, etc.
Acute illness hx
Seizure disorders
Family hx, congenital disorders
School, behaviorl, psycho-social hx, learning disabilities, drive/motivation, discipline problems, likes/dislikes, time spent in daycare, transport, play, etc.
Will dictate what toys used in therapy and how to guide treatment
Examination of child
Assessment of pathological signs to confirm a diagnosis, identify the nature/extent of the dysfunction, assess residual and potential abilities being realistic with family, assess the families concerns for the child
How to examine a young child and/or infant
1. Observation
2. Let them show you their skills via interactive play
3. Build rapport
4. Hands on is done at the end
5. Be flexible with your agenda
Pre-School aged children examination
Observation, play, explain what you are doing, self-care ADL's
Special considerations for a child diagnosed with a mental handicap...
Approach w/ the cognitive age rather than the chronological age.
Physical Exam of Neuromuscular System
-Reflexes - Milani-Comparetti, MSR
-Tone, at rest and w/ activity, Mod. Ashworth scale
-Coordination/Balance
-Strength
Musculoskeletal system physical exam should include..
-Palpation of soft tissue and bony prominences
-Assessment of static/dynamic postures
-Assessment of gait/stance
-AROM, PROM
-LE/UE girth, length
-Postural alignment
-Asymmetries
Sensory Examination should include...
-Visual tracking/attending
-Auditory
-Sensory processing, boyd awareness, awareness in space, motor planning, tactile input such as clothing texture, food texture.
What will determine what test you will use?
-Age
-Setting
-Diagnosis
-Norm vs. Criterion based
-Purpose of test
-What does the dest involve?
Examination of Motor Function should include...
-Playground, school, home, community
-Fine Motor Skills
-Language Skills (receptive/expressive)
-Self help/adaptive skills
-Social/behavioral skills
-Adaptive Equipment
-Special Considerations
2 y.o. w/ CP, what tests?
Peabody - 0 to 6 years old, norm-referenced

Not the GMFM because skills are based on 5 y.o. Criterian referenced.
7 y.o. w/ Spina Bifida, what tests?
SFA - school age children, criteron referenced

PEDI - 7.5 years old, relates to function
10 y.o. w/ Gross Motor Delay, what tests?
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